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What are the side effects of trigeminal neuralgia surgery?

What are the side effects of trigeminal neuralgia surgery?

Typical surgical risks for any open-skull neurosurgical procedure include infection, excessive bleeding, spinal fluid leakage, and risks of anesthesia. Rare neurological injury can include damage to hearing, vascular injury (stroke), and, very rarely, death.

How long does it take for trigeminal nerve to heal after surgery?

A microvascular decompression may require up to four days of hospitalization. Most people return to normal activities in about three weeks but may have to avoid strenuous activities for a while longer.

What are the side effects of microvascular decompression?

Microvascular decompression is an invasive procedure, and while safe in expert hands, does have potential rare/infrequent risks, including:

  • Infection.
  • Hearing loss, facial numbness, and/or facial weakness (usually temporary, rarely permanent)
  • Spinal fluid leak.
  • Difficulty with speech or swallowing.

Can trigeminal neuralgia return after surgery?

Most people are able to return to work and daily activities about a month after surgery. Although no procedure is guaranteed to cure trigeminal neuralgia, all three types of trigeminal neuralgia surgery have the potential to stop pain for many years, if not permanently.

What happens if the trigeminal nerve is damaged?

Trigeminal nerve injuries not only causes significant neurosensory deficits and facial pain, but can cause significant comorbidities due to changes in eating habits from muscular denervation of masticator muscles or altered sensation of the oral mucosa.

How do I calm my trigeminal nerve?

Many people find relief from trigeminal neuralgia pain by applying heat to the affected area. You can do this locally by pressing a hot water bottle or other hot compress to the painful spot. Heat a beanbag or warm a wet washcloth in the microwave for this purpose. You can also try taking a hot shower or bath.

What is the success rate of microvascular decompression surgery?

The success rate was 83.5% (79.6-89.1). Complications included incisional infection in 1.3% (0.1-2.5), facial palsy 2.9% (0.5-6.2), facial numbness 9.1% (1.3-19.6), cerebrospinal fluid leak 1.6% (0.7-2.5), and hearing deficit 1.9% (0.2-3.9).

How successful is microvascular decompression surgery?

What are the results? MVD is highly successful in treating trigeminal neuralgia (95% effective) with a relatively low risk of pain recurrence (20% within 10 years). The major benefit of MVD is that it causes little or no facial numbness compared to percutaneous stereotactic rhizotomy (PSR).

Can the trigeminal nerve be removed?

If a vein is compressing the nerve, your surgeon may remove it. Doctors may also cut part of the trigeminal nerve (neurectomy) during this procedure if arteries aren’t pressing on the nerve. Microvascular decompression can successfully eliminate or reduce pain most of the time, but pain can recur in some people.

What is the best treatment for atypical trigeminal neuralgia?


  • Anticonvulsant drugs: An anticonvulsant drug called carbamazepine is usually the first choice for treating pain associated with typical TN.
  • Other medications: Tricyclic antidepressants such as amitriptyline or nortriptyline are used to treat symptoms associated with atypical trigeminal neuralgia.

Can the trigeminal nerve heal itself?

The short answer to this question is not likely. Trigeminal neuralgia may continue to worsen, rather than improve, over time. This means that you may start out with a milder case but it can continue to progress and the pain may intensify over time.

Is trigeminal nerve damage permanent?

The good news is that the vast majority of these peripheral trigeminal nerve injuries undergo spontaneous regeneration. However, some injuries may be permanent with varying degrees of sensory impairment ranging from mild numbness (hypoesthesia) to complete anesthesia.

In other instances, some people have unbearable side effects, such as a feeling of overwhelming fogginess or almost a drunken sensation. Other side effects can include nausea, headaches, dizziness or even skin rashes.

What are the possible complications of trigeminal…?

In centers where MVD is frequently performed, complications include facial dysesthesia (0.3%), facial numbness (0.15%), cerebellar injuries and hearing loss (< 1%), and CSF leakage (< 2%). Complications of PRTG depend on the amount of numbness created by the lesion.

How long does it take for trigeminal neuralgia to go away?

The procedure takes about 30 minutes and most patients go home several hours later with less to no pain. Out of the three surgical options, rhizotomy offers the most immediate relief from trigeminal neuralgia pain. You may experience some swelling or bruising of the cheek.

When to have Gamma Knife radiosurgery for trigeminal neuralgia?

If you cannot withstand an anesthetic procedure or your trigeminal neuralgia is due to damage and not compression, Gamma Knife Radiosurgery may be the perfect option for you. This procedure is excellent for those that have trigeminal neuralgia due to an injury or degenerative disease that has compromised the myelin nerve sheath.